Differences in treatment of digital amputation injuries based on community transfer versus tertiary initial presentation
Amis B et al. – Patients transferred to the authors' institution required significantly more complex treatments and were significantly more likely to be treated in the operating room. A small but significant group of patients was treated in the ER or required relatively simple treatments after transfer. The hypothesis that a higher percentage of patients transferred to the institution would have less insurance coverage was not supported by the data. Tertiary centers can expect to continue receiving a steady stream of amputation referrals.